Decontamination Area ✔✔where soiled items are received and cleaned. *All levels for the same tray should be labeled w/a tag to identify the level number and set to which it belongs. Preparation and Packaging Area ✔✔where cleaned items are inspected, assembled, and packaged. Sterilization Area ✔✔where terminal sterilization is performed. Sterile Storage Area ✔✔where sterile items are stored until needed. Loaner Area ✔✔for the receipt and return of instruments borrowed for specialty procedures. Patient Care Equipment Clean-Up Area ✔✔where patient care equipment is cleaned and disinfected. Work Flow ✔✔how the work progresses through the department or processing area. *Dirty to Clean Function of CS/SPD ✔✔receives, cleans, decontaminates, assembles, inspects, disinfects, sterilizes reusable medical and surgical devices Sterile processing is A.K.A ✔✔Central Material Service, Sterile Processing Service, Central Service, Sterile Processing Department Occupational Safety Health Administration (OSHA) ✔✔protects workers; OSHA standards are required by law; sets occupational exposure limits for all chemicals in the workplace under mSDS (material safety data sheet); "right to know"; Emergency eyewash stations Center for Disease Control and prevention (CDC) ✔✔voluntary; promotes health by preventing and controlling disease; publishes recommendations and guidelines; hand hygiene (15 second minimum); NO artificial nails; classifies medical devices according to Spaulding Personal Protective Equipment (PPE) ✔✔MUST be worn to protect from blood and bodily fluid disposable sharps must be disposed in ✔✔rigid biohazard container Sharps ✔✔instruments/devices with points/blades skull ✔✔cranium and facial bones hyoid bone ✔✔located in neck; supports tongue and swallowing; only bone NOT articulated w/another vertebral column ✔✔vertebrae separated by discs; lumbar, thoracic and cervical spine PLIF ✔✔Posterior Lumbar Interbody Fusion Thoracic cage ✔✔sternum and 12 pairs of ribs; protect organs of chest and upper abdomen Making an opening into thoracic cavity to give surgeons access to lung and heart ✔✔Thoracotomy Appendicular skeleton ✔✔Appendages Pectoral girdle ✔✔scapula and clavicle connect bones of arms and aids movemnet Upper limb bones ✔✔humerus, radius, ulna, carpals, metacarpals and phalanges Carpal Tunnel Repair ✔✔removing tissue displaced bone in wrist area to release pressure on median nerve Lower limb bones ✔✔femur, tibia, fibula, patella, tarsals humerus, radius, ulna ✔✔connect at elbow joint carpals, metacarpals, phalanges ✔✔form wrist and hand femur, tibia, fibula ✔✔connect at knee joint patella ✔✔knee bone tarsals ✔✔ankle; metatarsals and phalanges form ankle and foot Joints ✔✔junctions between bones; articulation total hip and knee sets; osteotomes; screw sets ✔✔instruments used for skeletal system skeletal muscle ✔✔responds to stimulation by contracting and relaxing; voluntary; striated; *attached to bone by a tendon smooth muscle ✔✔involuntary movement; slower to contract and relax; common throughout body systems (e.g. digestive tract) Types of muscle tissue ✔✔Cardiac; Smooth; Skeletal cardiac muscle ✔✔makes up heart; contracts automatically; involuntary and rhythmical ACL ✔✔Anterior Cruciate Ligament a repair to the muscles and ligaments of the shoulder joint ✔✔Rotator Cuff Repair Integumentary system ✔✔skin, hair, glands and nails largest organ OF the body ✔✔skin epidermis; dermis; hypodermis ✔✔layers of integument epidermis ✔✔superficial protective layer dermis ✔✔deeper than epidermis; *contains nerves and blood supply hypodermis (subcutaneous) ✔✔deepest layer of skin circulatory system ✔✔pumps blood (tissue) throughout the entire body and removes waste products transportation, regulation, protection ✔✔3 main functions of the circulatory system heart ✔✔pumps more than 10 gallons of blood a minute through arteries and veins; has 4 chambers atria ✔✔upper chambers; receive blood back from veins ventricles ✔✔lower chambers; force blood out of heart into arteries separated by septum ✔✔right and left chambers separated by mitral (bicuspid) and tricuspid valves ✔✔atria and ventricles when veins vs. arteries are reversed in the concept of blood flow ✔✔pulmonary; bluish color of vein indicate blood needs oxygen sternal saws, open heart instruments, coronary dilators ✔✔instruments used for circulatory system main function is to supply oxygen to the body and remove carbon dioxide from the body; *the area where homeostasis (regulation) of pH occurs in the body ✔✔Respiratory system upper respiratory system ✔✔nose, nasal cavity, pharynx, sinuses and larynx lower respiratory system ✔✔trachea, bronchial tree, lungs breathing ✔✔inhalation and expiration; exchange of air between atmosphere and alveoli of lungs instruments used for respiratory system ✔✔bronchoscopes; tracheostomy sets digestion and absorption ✔✔main functions of digestive system (GI tract) tonsillectomy ✔✔removing lymph tissue in the pharynx (throat) oral cavity ✔✔ingest food, mix w/ saliva and swallow pharynx ✔✔receives food and transports to esophagus esophagus ✔✔transports food to stomach by peristalsis